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/ . <br /> 1-Y <br /> Ul <br /> SAN JOAQUIN COUNTYE0 Date qn!!6__ <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> ENVIR PR <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName FacilityAddress 65- AL <br /> FacilityContact E6,wr)r, Title Lluxia I j,)&-e– A'-terPhone# <br /> INSPECTION TYPE: PRoutine []Complaint []Re-inspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> 1.HSC Section 117955-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> 5e-nerator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste. +e- ervi 47-, j! <br /> L <br /> —2.HSC Section 117903-Permit from the V?, n. <br /> r <br /> enforcement agency required to treat medical C42n 17-4 J A Z <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall x!4 <br /> generate medical waste unless registered with the <br /> Cf <br /> enforcement agency. L22 <br /> —4.HSC Section 11 7895-SQG that treats med AA&_ 0'm L21 <br /> waste shall register with enforcement agency. <br /> 5.HSC Section 117900-Shall not haul med <br /> 11 A L ju ic <br /> waste unless registered or obtained LQHE. <br /> —6.HSC Section 117903-Shall not treat med Z_a� CLV, "� /,fvl <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage <br /> Fac7ility shall be registered with local enforcement <br /> agency. jif: Z lac. Ali <br /> Procedures rervl An.)�A A 6t <br /> —8.HSC Section 117935-SQG MWMP i <br /> —9.HSC Section 117943-SQG Shall keep viA e– <br /> records for 3 years. <br /> —10.HSC Section 117945-SQG not required to :21 j if <br /> register shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. <br /> —12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> —13.HSC Section 11 8030-LQHE application. <br /> Treatment/Storage <br /> 14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> 15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. e t` i;r_cAl f_jt" ViCk 0 CA�Yn eja <br /> 16.HSC Section 118215-All medical waste 1-7 <br /> all be treated pursuant to this section. r <br /> 17.HSC Section 118220-Recognizable human j)-v-ric j2=1 2rio- j an= <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. jjj I <br /> —18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. <br /> —1 9.HSC Section 118275-MW red bags,path, - rAIA 17M <br /> % mo shall be labeled properly. <br /> hA20.HSC Section 118280-MW label&contain <br /> 21.HSC Section 118285-Sharps label1containI <br /> :X22.HSC Section 118295-Proper decon used. -W,6 I f-vAl f I 1A <br /> —23.HSC Section 118307-interim storage labeled -t`� ajA Fa <br /> 24.HSC Section 118310-Enclosure labeled. Pr)k <br /> 25.HSC Section 118305-Cannot reuse drums <br /> 26.HSC Section 117630-Approved biohazard <br /> Ac,-eC)Lre_ <br /> bag used. <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> —28.HSC Section 118222-Incineration Required Int fjSg n at u re Received 54 Date <br /> 29 Other-Describe in narrative. <br />